Exfoliative dermatitis (ED) or erythroderma is defined as diffuse erythema and scaling of the skin involving more than 90% of the total body skin surface, which can be caused by variety of systemic and cutaneous diseases, such as infection, including dermatophytosis. Dermatophytosis is a superficial fungal infection of keratinized tissue caused by dermatophytes. There are only few case reports of ED due to dermatophytosis in literature. A 39-year-old male present with history of diffuse erythematous macules and scales almost on entire body due to dermatophytosis was reported. The diagnosis of dermatophytosis was confirmed by direct microscopic examination, fungal culture, and histopathological examination. Patient was treated with 2% ketoconazole shampoo and two pulses of 1-week of 200 mg itraconazole twice a day for each month. Clinical improvement was showed on the 7th day of observation characterized by decreasing of erythematous macules and scales. Mycological and clinical improvements were obtained on the 29th day of observation. The etiology of ED should be determined in order to give an appropiate treatment.

Objective: To evaluate the efficacy of a biocellulose, a carboxymethyl cellulose and a normal saline wound dressing in the wound care management of epidermolysis bullosa (EB) skin wounds. Methods: This was a single-blind, randomised controlled trial involving wounds from patients with EB. Wounds were divided into three groups: group I with biocellulose wound dressing, group II with carboxymethyl cellulose wound dressing and group III with normal saline wound dressing as a control. All dressing changes and wound parameters were recorded. Observations were conducted every three days until complete wound closure or up to one month. Results: The outcomes of treatment of 36 wounds from four patients were evaluated in this study. Mean healing time in group I was seven days, eight days in group II and 14 days in group III. There were significant differences in healing times between group I and group III (p=0.0001) and between group II and III (p=0.001). The results showed a significant reduction in the percentage of wounds area on day three for each group: 51.7% in group I, 51.9% in group II, and 26% for group III. All wounds in groups I and II had healed at day 12 (100%) and at day 24 (100%) in group III. There were significant differences in the reduction of percentage wound area between group I and group III at day three (p=0.044) and day six (p=0.000), and between group II and III at day six (p=0.003). Conclusion: The study demonstrates that both the biocellulose and the carboxymethyl cellulose wound dressings significantly reduced percentage wound areas and complete healing times compared with the normal saline wound dressing in EB skin wounds, demonstrating they are both equally good for wound care management in EB patients.

Background: Dermatophytosis is a common skin disease in tropical countries. In Indonesia, the incidence of dermatophytosis is quite high. Epidemiological studies showed that prevalence of dermatophytosis in children were higher than in adults. The aim of this study was to identify dermatophytosis cases among elementary school students in Jatinangor West Java. Methods: A descriptive study was carried out, involving 391 students aged 6-16 years from four elementary schools in Jatinangor West Java, who were selected by multi-stage sampling method. Six classes were chosen from each school. In every class, students were chosen to obtain the minimum number of samples. The inclusion criteria was elementary school students who were willing to participate in this study. The exclusion criteria were students who did not attend school at the time when the study wasperformed. The study's procedure consisted of six steps i.e. preparation, interview, screening, physical examination, specimen collection and microscopic examination. The collected data was processed by calculating the frequency and percentage. Results: The study discovered that out of 391 students, 197 suffered from non specific skin lesions. After confirmed by a dermatologist, three students were suspected to have dematophytosis lesion. From microscopical examinations by a microbiologist, two students had positive dermatophyte hyphae. The number of dermatophytosis cases in elementary school students, in Jatinangor was 0.5% (2/391). Conclusions:The incidence of dermatophytosis cases in this study is relatively low compared with other studies. Clinical features are tinea corporis. Both patients with positive dermatophyte hyphae are ten -year -old females. [AMJ.2016;3(2):165-9]